Isiza sinikezela ngemininingwane yokwazisa ngezinhloso zolwazi kuphela. Ukuxilongwa nokwelashwa kwezifo kufanele kwenziwe ngaphansi kokuqashwa kukachwepheshe. Zonke izidakamizwa zinokuphikisana. Ukubonisana kochwepheshe kuyadingeka!
Ukusondela kwesifo kanye nezimpawu zokutheleleka
Ukugula okubangelwa izikhonkwaneibizwa enterobiosis. IPinworm isibungu esimhlophe esimhlophe, ubude baso buyi-10 mm kowesifazane, no-5 mm ngowesilisa. Kwesimame, ukuphela kwendawo kuyakhonjwa, kuyilapho kowesilisa kuphendukezelwe ohlangothini lwe-ventral. Emuva kokuvula komlomo ngaphambili komzimba wepincworm kuyisidleke - ukuvuvukala okuncane ngawo isibungu enamathiselwe odongeni lwesibeletho. Amaqanda wePinworm anomumo o-oval, atholakala kolunye uhlangothi futhi aqhakaza kwelinye, negobolondo elingenamibala. Empeleni, ukuthi ama-pinworms abukeka kanjani noma amaqanda awo angatholakala ngokubheka ku-encyclopedia noma ngokuthayipha enjini yokusesha umbuzo ohambelana nawo: ama-pinworms, isithombe noma amaqanda we-pinworm, isithombe. Kwama-pinworms (i-Enterobius vermicularis, i-pinworm yomuntu), okuwukuphela kosokhaya umuntu, okungukuthi, wonke umjikelezo wabo wokuphila wenziwa emzimbeni womuntu. Yize izifo zama-pinworms of imidlwane ziyaziwa, i-enterobiosis ayenzeki ezinjeni ezindala. Imvamisa lokhu kuyabonakala emindenini lapho kunezingane ezincane. Lesi sifo siyathathelana kakhulu, ngakho-ke lapho sitheleleka nge-pinworms, umndeni wonke kufanele welashwe. Lokhu kungenxa yezici zebhayoloji. amagciwane: izinsikazi zibeka amaqanda esikhunjeni eduze ne-anus, emaqhugwaneni, embhedeni. Ngasikhathi sinye, bafaka i-isovaleric acid, ebanga ukuluma okunzima kubantu. Njengomphumela wokuhlanganisa izindawo zokulunywa, amaqanda e-pinworm awela emunweni nasezikhonkwaneni zomuntu, bese edluliselwa kwimo yangaphandle. Njengengxenye yothuli lwendlu, amaqanda alezi zinambuzane angahlala esebenza isikhathi eside, futhi abangele ukutheleleka kabusha.
I-Enterobiosis ijwayelekile kuzo zonke izingxenye zesibalo sabantu, kepha ama-pinworms atholakala kakhulu ezinganeni (izithombe "ezinjalo" zezilwane zitholakala kakhulu kwi-Intanethi) kusuka eminyakeni eyi-5 kuye kweyi-10, okuvame kakhulu ezinganeni ezingaphansi kweminyaka emibili, futhi ezingangeni ezikhungweni zasenkulisa. Ngakho-ke, ama-parasites anjalo kwesinye isikhathi abizwa ngokuthi "i-pinworm."
Ukutheleleka ngePinworm akuyona into evamile ngesikhathi sokukhulelwa. Imvamisa, ingane endala "iletha" izibungu, ziyidlulisele komunye umndeni. Uma kuvela isimo esinjalo, umuntu akufanele ethuke - ama-pinworms angabeki usongo enganeni esibelethweni. Kodwa-ke, ukutheleleka kwengane esanda kuzalwa kwenzeka kakhulu. Ngakho-ke, ukwelashwa okufika ngesikhathi kwama-pinworms emndenini kubaluleke kakhulu ezinganeni nakubantu abadala. Kuyadingeka ukuthi ubonane nodokotela mayelana nokuthi ungazelapha kanjani izikhonkwane: kukhona amalungiselelo akhethekile ama-pinworms, ukusetshenziswa kwawo kuphephile ngesikhathi sokukhulelwa, futhi ukuzelapha ngokwakho okulesi simo akunakusiza kuphela, kodwa futhi kuyenza ibe mbi inkambo yesifo.
Ukuxilongwa kwe-Enterobiosis
Ukuhlaziywa kwe-enterobiosis kufanele kwenziwe kusukela ekuseni kuya emathunjini, ngaphandle kwezinyathelo zokuhlanzeka kwangaphambilini. Njengoba ama-pinworms engawafaki amaqanda nsuku zonke, kungakuhle ukuphinda uhlaziye izinsuku ezintathu (ngokwesibonelo, isikhawu sosuku olulodwa phakathi kokuklwebheka) ukuthola umphumela onokwethenjelwa.
Ukuhlaziywa okujwayelekile kwesihlalo samaqanda we-pinworm akusebenzi, ngoba akubekwa emathunjini, kodwa esikhunjeni sesifunda se-perianal.
Ekuhlolweni kwegazi okujwayelekile, kunganda inani lama-eosinophils.
Futhi, ukuhlolwa kwesifunda se-perianal ngesikhathi sokukhononda kwesiguli se-pruritus kuveza uphawu lwe-pinworm kanye nemaki.
Ukwelashwa kwe-Pinworm
Ukwelapha ama-pinworms, kunqunywa izidakamizwa ze-anthelmintic. Ngokuvamile, ukwelashwa kwama-pinworms enganeni nakumuntu omdala kwenziwa ngemithi efanayo. Okuhlukile kukhulelwe futhi kukhipha abesifazane, izinsana.
Ukwelashwa ngaphandle kokuhluleka kunqunywe ngudokotela, kucatshangelwa izici ezithile zesiguli kanye nokukhethwa komthamo oqondile wento esebenzayo. Kwezinye izimo, inkambo yesibili yokwelashwa yenziwa ngokuphumula kwamasonto amabili. Ngenxa yengozi enkulu yokutheleleka, kubalulekile ukwelapha wonke amalungu omndeni nabantu abaxhumana isiguli.
Izidakamizwa zokwelapha ama-pinworms, izidakamizwa ezifana nePirantela ekhayaat, Albendazole, Mebendazole ziyasetshenziswa. I-Piperazine inomphumela ongasebenzi kahle, kepha ngasikhathi sinye, ukusetshenziswa kwayo kufanelekile ekwelapheni ama-pinworms kwabesifazane abakhulelwe.
Imisebe ye-Ultraviolet inomphumela olimazayo kumaqanda we-pinworm. Kodwa-ke, ukuze uzuze umphumela, umphumela onjalo kufanele wenziwe kungakapheli amahora ambalwa.
Amakhambi esintu
Ukuphendula umbuzo wokuthi ungasusa kanjani ama-pinworms, ezinye izindlela zokwelapha zinikeza lezi zinketho ezilandelayo:
1.Ukwelashwa kwegallic - Izimbotshana ezimbili zikagalikhi ezihlangene zihlanganiswa namanzi ngesilinganiso esingu-1: 1, esithathwe ngomlomo ngaphambi kokulala, sihlanzwe ngamanzi amaningi, izinsuku ezintathu. Ngemuva kwesonto, isifundo siphindwa.
2.Ukwelashwa kwembewu yethanga. I-100 g yembewu yethanga elichotshoziwe exutshwe ne-100 ml yamafutha omnqumo. Izinsuku ezintathu, thatha le ngxube esiswini esingenalutho ekuseni (amahora amathathu ngaphambi kokudla). Ngemuva kwekhefu lezinsuku ezimbili, isifundo siphindwa. I-decoction yembewu yethanga nayo iyasebenza.
3.Ukwelashwa anyanisi. Cishe i-100 g ye-anyanisi egayiwe exutshwe nezipuni zikasawoti no-50 ml kawoyela sunflower. Sebenzisa ngaphambi kombhede izinsuku ezinhlanu.
4.Ukwelashwa kwelayisi. Kufakwe irayisi yasebusuku (50 g) ebilisiwe, futhi kuxutshwe nezipuni ezimbili ze-ginger eyomile nezipuni ze-clove powder. Iphalishi elibangelwa lidliwe ibhulakufesi. Ngemuva kwamahora amabili, phuza ingilazi yamanzi anosawoti (isipuni sikasawoti ngama-200 ml). Isifundo senziwa izinsuku eziyisithupha.
Futhi ikhambi elisebenzayo lama-pinworms yizinhlobo ezahlukahlukene zemithi ezisuselwa ku:
- izimbali ezimile ezingavuthi,
- amakhambi omhlonyane
- ukuqoqwa kwamanani alinganayo wamaqabunga wewashi, izimbali ezingama-tansy, i-Centaury.
Izimbali ze-Tansy namafutha ayo abalulekile ayasebenza ekutheleleni hhayi kuphela ama-pinworms, kodwa futhi nama-roundworms.
Uma inkinga - ukuthi ungayisusa kanjani i-pinworms - ihlala isebenza isikhathi eside, ungazama ukusebenzisa enemas. Isibonelo, kusuka kubisi ngegalikhi. Engilazini yobisi, ubilise inhloko kagalikhi kuze kube yilapho ithambile futhi ifafaze. I-Enema ifakwa ebusuku isonto lonke, ngesilinganiso sengilazi eyi-1 kumuntu omdala nengxenye yengilazi yengane. Yize ezinganeni, ezimeni eziningi, ukusetshenziswa kwe-enema ejwayelekile enamanzi abandayo (200 ml) kwanele.
Lapho uxazulula inkinga, kubaluleke kakhulu ukuthi ungaziphatha kanjani izikhonkwane ezinganeni futhi unake ukungqubuzana kokuthola umhlonyane nobuhle. Amakhambi anjalo awakwazi ukusetshenziselwa ukususa ama-pinworms enganeni engaphansi kweminyaka eyi-12. Ngaphezu kwalokho, zingaba nomphumela omubi ezifweni zenhliziyo, isibindi kanye nezinso, kanye nangesikhathi sokukhulelwa.
Lapho welapha, kubaluleke kakhulu ukubheka omunye umphumela ongahle ube nomthamo onganele wezidakamizwa ze-anthelmintic (zombili zemithi nezabantu) - okubizwa ngokuthi "ukwenziwa kwasekhaya okuphendukezelwe yizikelemu." Njengomphumela wesenzo sokuwohloka okuphansi kokuhlushwa, izimuncagazi zihamba ngohlelo lokugaya ukudla. Ngaphezu kwalokho, bangangena emgodini wesisu ngokusebenzisa izindonga zamathumbu, bakhasa bangene emigundwini yamanyikwe noma kwesibindi, isithasiselo, futhi lapho beshiya i-esophagus bangene emaphashini. Izimo ezinjalo ezisongela impilo zidinga ukungenelela kwezokwelashwa okusheshayo, okuqeqesheka kakhulu.
Ukuvimbelwa kwePinworm
Isinyathelo esiyinhloko sokuvimbela ukutheleleka kwe-pinworm ukugcinwa kwemithetho yokuhlanzeka komuntu (ukugeza izandla okungenani imizuzwana engama-20, ukugeza nsuku zonke, ukugeza imifino nezithelo ngaphansi kwamanzi agelezayo, njll.). I-Enterobiasis ivame ukubizwa ngokuthi "isifo sezandla ezingcolile."
Ukuvimbela ukutheleleka kabusha, kuyadingeka ukuthi kuhlanzwe indawo emanzi. Ngasikhathi sinye, ama-disinfectants asendlini (kufaka phakathi lawo aqukethe i-chlorine, afana ne-Domestos) awasebenzi, ifulethi nezinto ezingaphakathi (izindonga, amakhethini, ifenisha, amakhethini, njll.) Kufanele zigezwe kahle ngamanzi anensipho. Izingubo nezingubo zokulala kufanele zihlanzwe ngamazinga okushisa aphezulu. Imikhiqizo yamaphepha e-iron noma alahle. Izingubo zangaphansi nezelineni lombhede kufanele ziguqulwe nsuku zonke. Izingane zidinga ukusika izinzipho zazo kancane.
Yize izilwane ezifuywayo zingathinteki ku-enterobiasis, ziyakwazi ukuthwala amaqanda we-pinworm ejokeni lazo. Ngakho-ke, kuyadingeka ukugeza izilwane ezifuywayo njalo uma isifo sitholakala kubanikazi bendlu.
Ungathathi amaphilisi kuma-pinworms "uma kwenzeka" njenge-prophylactic (ikakhulukazi ezinganeni) ngaphandle kokuya kudokotela.
Umenzeli obangela i-enterobiosis
IPinworm iyi-nematode yombala omhlophe, usayizi omncane, insikazi ifinyelela ku-5 mm, owesilisa ayi-12 mm.
Owesilisa unesiphetho esontekile, insikazi iyakhonjwa. Ingaphambili le-vesicle liyabonakala - ingxenye yomlomo ye-parasite, ngosizo lwephini layo linamathele ezindongeni zomzimba
Umsebenzi obalulekile we-parasite wenziwa ngenxa yokuqukethwe kwamathumbu, isakhi esiyinhloko sokudla sinama-bacterium asiza abantu. Bangadla negazi. Ngenxa yalokhu, ukuphazamiseka kokugaya kanye nohudo kwenzeka kubantu abagulayo.
Eqanda elibunjiwe lesimungumungwane, kukhona isibungu esingavuthiwe impela. Ukuvuthwa kokugcina kwenzeka kungakapheli amahora angama-4 - 5, kufinyelele osayizi abadala ngenyanga.
Ngemuva kwalokho umjikelezo wokuvuthwa uyaphindwa futhi. Kulokhu, kudingeka izimo ezivumayo, izinga lokushisa lomzimba womuntu elithile lingaphansi kwama-degree angama-36,5, umswakama ophakeme kuze kufike ku-70% - 100% (indawo efanelekile ngumkhumbi womuntu).
I-Pinworms Life Cycle
Umjikelezo wempilo wama-pinworms awumkhulu. Umuntu ubeka amaqanda nge-umbungu, oguqulwa ube yi-larva kungakapheli amahora ama-5. Esimweni esihle, amaqanda ahlala cishe inyanga eyodwa. Ukutheleleka kwenzeka ngokuxhumana nomuntu ogulayo noma ukusondelana eduze kwezinto, izitsha zalowo onegciwane.
Izibalo zingena futhi zibambe esiswini esincane, bese zidlulela emathunjini amakhulu.
Ngemuva kwamaviki amabili, izibungu ziba mdala, zikwazi ukubeka amaqanda ngokuzimele, kepha ziwagcina emzimbeni wayo, kanti zona ngokwazo zihamba kancane kancane zililongele emathunjini amakhulu.
Ngesikhathi sokuphumula kobusuku, insikazi iphuma intuku bese ibekela amaqanda ayizinkulungwane ezingama-20 isiyingi esizungeze i-anus. Umjikelezo wokuthuthuka kwezimpawu zomzimba emzimbeni awudluli inyanga eyodwa. Owesilisa ufa ngokushesha emva kokukhulelwa kowesifazane.
- ngemuva kokubeka amaqanda, isiguli singafafaza umuntu ngenkathi sihlanganisa,
- uyafa ngaphambi kokubekwa kwamaqanda, kepha ngemuva kokubola kwe-helminth, izibungu ziyakhululwa bese ziqala umsebenzi wazo wokuphila.
Kumuntu onegciwane, isifo sohudo esijwayelekile akubangeli ukungaphatheki kahle njengokucasuka kanye nokulunywa ku-anus. Njengoba ama-helminths evame ukuphuma ayobekela amaqanda ebusuku, umuntu angaphazamiseka ngenxa yokulala, kubonakale ukukhathala, uvalo engxenyeni yohlelo lwezinzwa nolaka olungalindelekanga kwabanye.
Ngokulahleka kwezakhi zomzimba emzimbeni, abantu baphawuleka ngokweqile, izinga le-hemoglobin egazini lehla kakhulu.
Izingane, ngokobudala bazo, aziqondi ukuthi kwenzekani kuzo, zingakwazi ukuhlanganisa indawo enesithukuthezi, ngaleyo ndlela zibeke amaqanda ezandleni zazo, ngaphansi kwezipikili zazo. Emantombazaneni, amaqanda avame ukungena esithweni sangasese futhi abangele ukuvuvukala - i-vulvovaginitis. Intombazane iholelwa kudokotela wesifazane, ngenkathi imbangela yalesi sifo uqobo, ihlala ingaziwa.
Isiguli siba ngumthengisi we-helminth, othinta amathoyizi, izinto, izitsha ngezandla ezisulelekile. Ngaphezu kwalokho, izimuncagazi zihamba ngokuthula zithuthele ezandleni ezingcolile ziyibuyisele emzimbeni kanye nomjikelezo wokukhula kwe-pinworm.
Kubalulekile! Kuyaziwa ukuthi, ngokulandela inhlanzeko, ama-helminths afa emzimbeni futhi aphumele ngaphandle kungakapheli izinyanga ezintathu!
Umjikelezo wempilo yalesi sinambuzane ulula impela, uphinde uzalwe esakhiweni esiphilayo, awudingi omunye umgcini. Umuntu onegciwane uqobo kungenzeka kube nguye kuphela ophethe futhi ophakathi nendawo we-helminth.
Ukutholwa kwe-Enterobiosis
Ukuthola i-parasite kulula kakhulu, kuyadingeka ukuhamba ngezigaba ezimbili.
Isigaba sokuqala sifaka inhlolovo ephelele:
- yini ekhononda ngayo
- ukuqala kwezimpawu zokuqala
- Ngabe ukhona osendaweni yakho eseduze akhononde ngalezi zimpawu
- ukuthi umthetho wokuhlanzeka komuntu uyabonakala yini (izandla ezihlanzekile njalo).
Esigabeni sesibili:
- Kwenziwa ucwaningo lwelabhoreji yendwangu,
- izikebhe zithathwa eduze ne-anus nge-tepi enamathela,
- Ukuhlolwa kokuhlolwa kwegazi okujwayelekile kusuka emunweni (kunezinkomba zesimo sokubakhona kwamagciwane).
Isikhombisi esiyinhloko izinga eliphansi le-hemoglobin, izinga elijwayelekile - 120 - 140 g / l, amangqamuzana abomvu egazi - 3.5 - 5.3, enenkomba ephansi, i-anemia ivela. I-Anemia ivela nenkambo yokugijima, lapho kukhona khona izidalwa eziningi nezinqubo zokuvuvukala emzimbeni.
Ukuvuvukala ngokobulili, ikakhulukazi emantombazaneni. Isithasiselo - akukho datha ethembekile yokuthi i-helminth, ukungena kuyo kuholele ekulimazelweni kwesithasiselo. Isifo se-gallder - ubamba iqhaza kwinqubo yokugaya.
Ama-pinworms asebenzayo, angahamba emathunjini hhayi ekuphumeni e-anus, kodwa kunalokho aye kolunye uhlangothi olungaphambi kwephakethe lesisu. Ngokudonswa kwe-bile kungena ngaphakathi kwe-gallbladder uqobo futhi kucasule ulwelwesi lwe-mucous odongeni lubangele ukuvuvukala - cholecystitis.
Ngesikhathi sokukhulelwa
Ngesikhathi sokukhulelwa phakathi nezinyanga ezintathu zokuqala, ukwelashwa kwezidakamizwa akuvunyelwe. Kuyadingeka ukuthi sizilinganisele nezindlela zokuthibela.
Uma ulandela imithetho yenhlanzeko, ama-helminth azofa yedwa. Kepha uma udokotela ekubona kufanelekile ukunquma umuthi, khona-ke uMebendazole, amncomayo, futhi awunayo ilayisense yabesifazane abakhulelwe.
Lapho ukuncelisa ibele, ukwelashwa ngemithi ye-anthelmintic nakho kwenqatshelwe. Kwanele ukuzibekela umkhawulo ekuthobeleni izindlela zokuthintela.
Imikhiqizo ewusizo nge-Enterobiasis
Kunconywa ukuthi udle ukudla okubukhali nokubabayo. Ama-Walnuts, imbewu yethanga, ifilakisi. Amafutha emifino enza kahle ngokucasuka kanye nenqubo yokuvuvukala yezindonga zamathumbu. Onke amajikijolo omuncu, izithelo nemifino.
Izenzo zokuvimbela
- uma kutholakala i-enterobiosis, qala ngokushesha ukwelashwa ukuvikela ukutheleleka kwabanye,
- inhlanzeko
- ushintsho olujwayelekile lwezingubo zangaphansi nezangaphansi,
- Ukushisa okushisa kokudla okuluhlaza,
- Zizwe ukhululekile ukutshela abantu abadala ngokubakhona kokulungiswa ku-anus.
Ngemuva kokwelashwa, ukuhlanza okujwayelekile kwenziwa kusetshenziswa izibulala-magciwane, okokuhlanza, kanye nokukhipha ugwadule.
Lapho kutholakala ubhubhane lwe-enterobiosis, abantu abaxhumana neziguli basebenzisa izidakamizwa ze-anthelmintic ukuvimbela.
Ulwazi oluvamile
I-Enterobiosis yizinhlobo zomhlaba wonke helminthiasiskufakwe eqenjini lezifo eziyizidlakudla. Lesi sifo sibonakaliswa ukuphazamiseka kwamathumbu, ukuphazamiseka kohlelo lwezinzwa, ukulunywa kwesikhumba nokubonakala komzimba. Ubizwe yi-nematode (roundworm - pinworm). Ngokuhambisana nentuthuko yemvelo yesibungu esiyisinambuzane, i-enterobiosis ibhekise kuma-helminths othintana nawo, isici esibonisa ukuthi umjikelezo othize we-parasite:
- Ukuthuthukiswa kwegciwane kwenzeka ngaphandle kwemikhosi emaphakathi.
- Ukukhishwa njalo kwamaqanda avuthiwe ngokugcwele / ngokwengxenye kumqashi.
- Ukuthuthuka okuqhubekayo ngemuva kokuthi amagciwane ashiye amathumbu emzimbeni womuntu noma ezintweni ezizungezile, ezingubeni zangaphansi.
- Indlela yomlomo yokutheleleka ngokuxhumana nesiguli / izinto ezingcoliswe ngamaqanda.
Ezindaweni ezinesimo sezulu esishisayo (kufaka phakathi amazwe anentuthuko ephezulu yezomnotho) i-parasitosis iyaphawuleka, amandla adonsela phansi afinyelela ku-70-95% phakathi kwawo wonke ama-helminthiases, okubangelwa ukuzimela komjikelezo wokuphila we-pinworm kusuka ezimweni zezemvelo. Ensimini yeRussian Federation, amandla athile adonsela phansi we-Enterobiosis acishe abe ngama-60% ama-helminthiases aqoshiwe futhi amacala amasha ayizinkulungwane ezingama-200 abhaliswa minyaka yonke. Ngasikhathi sinye, isabelo sezingane ezingaphansi kweminyaka engu-17 sibangela ama-96% amacala. Izimpawu ezihlasela kakhulu i-enterobiosis zingane ezineminyaka eyi-7 kuye kwengu-14 (cishe ama-50% amacala) kanye neminyaka engama-3-6 (39% yamacala).
Kungani izimbungulu ziyingozi? Ukuba khona kwama-pinworms emzimbeni womuntu ohlaselayo kunomthelela omubi emzimbeni wempilo yabadala kanye nezingane ikakhulukazi. Phakathi kwezingane ezihlukumezekile, kuvame ukubambezeleka ngokomzimba / ngokwengqondo nokukhula, ukuncipha ukungatheleleki, okunomthelela ekukhuphukeni kokungasebenzi kokutheleleka nokutheleleka ngokweqile (i-ARI, dysbiosis, izifo zamathumbu) ngokuthuthukiswa kwezinguquko ze-pathomorphological izicubu / izitho zomzimba zibe nomphumela ongemuhle kuma-hormonal, imisebenzi ye-enzymatic yomzimba.
I-Pathogenesis
Izici ezihola phambili ze-pathogenetic yilezi: ezenziwa ngomshini futhi ezinobuthi, ngenxa yalokho inqubo yokuvuvukala yenziwa ezingxenyeni ezihlukene ze-mucosa yamathumbu. Ngenxa yokuqina okuqinile kwekhanda le-parasite ye-parasite ulwelwesi lwe-mucous kanye nokungena kwezikhonkwane emalungeni ezingxenyeni ezihlukene zesibeletho, amaphutha ayenzeka ngesimo sokuxineka kwesimungumungwane. Ubukhulu benkambiso ye-pathological inquma ubungako bokuhlaselwa, ngoba izithonjana zihlangana ngamandla amakhulu. Njengomphumela wokucasulwa kwe-chemo / mechanoreceptors yamathumbu, ukwephulwa okukhanyayo komsebenzi wezemoto / wezimfihlo wepheshana lesisu kwenzeka, okucasulayo ukuthuthuka i-enteritis, i-gastritis, gastroduodenitis.
Imikhiqizo ye-Pinworm metabolic ibangela ukuzwakala komzimba ngokukhula okulandelayo kokuvela kokungezwani komzimba. Umphumela we-immunosuppressive we-pinworms usunguliwe, obamba iqhaza ekuthuthukisweni kwezifo zamathumbu kanye nama-dermatoses. Ama-Pinworms athinta kabi isimo esijwayelekile, uhlelo lwezinzwa, ikakhulukazi ezinganeni, ubuhlakani bazo, indlela yokuziphatha, okubangela ukukhula isiphazamisoukungaphatheki kahle, inkumbulo emibi. Ukuba khona kwama-pinworms kunomthelela ekuphazamisweni kwesimo se-microbial seflagi evamile yamathumbu ngokuthuthukiswa okuvamisile kokuphinyiselwa dysbiosis. I-Enterobiosis ithinta kabi inkambo yokukhulelwa futhi imvamisa imbangela ye-toxicosis namanye ama-pathologies.
I-Etiology
I-ejenti yokubangela ye-enterobiosis pinworm (lat. Enterobius vermicularis) isibungu esiyindilinga esiyindilinga ngombala omhlophe onsundu ngombala osikiwe oguqukayo, ubukhulu bawo njengasesimweni esidala njengabantu abadala abesifazane bungu-9 - 12 mm (abesifazane) nabesilisa abungu 2-5 mm. Ukubukeka kwama-pinworm kukhonjiswe kanjani esithombeni esingezansi.
Ukwakheka kwama-pinworms abesifazane nabesilisa kukhonjisiwe kulesibalo esingezansi.
Amaqanda wePinworm athunyelwe ngowesifazane endaweni yangaphandle anobukhulu obungu-50 × 30 μm kanye nobume be-aslongmetric, obambozwe ngegobolondo elingenasici. Ama-parasites amelana namakhemikhali amaningi (isixazululo se-lysol, formalin), kepha azwela kakhulu emisebeni yelanga nokomisa. Ama-Pinworms adla kokuqukethwe kwamathumbu. Pararize engxenyeni engezansi yesisu esincane, i-cecum kanye nasengxenyeni engenhla yesisu esikhulu.
Isisetshenziswa sedivayisi yokubopha ivumela abantu abadala ukuthi bagxiliswe odongeni lwamathumbu. Iningi lesifazane lihlakulela amathumbu, ngoba ngemuva kokulingisa, izinsikazi ziyafa bese zisheshe ziqhamuke nezindunduma. Inani labantu abane-parasitic liyahlukahluka lisuka kumashumi amaningana liye kumakhulu nezinkulungwane.
Izintokazi ezivuthiwe ziya kancane kancane zingene ku-rectum, zishiya i-anus bese zilala esikhumbeni semikhawulo yendawo yeqanda, ezithola izakhiwo ezihlaselayo (amandla okutheleleka) ngemuva kwamahora ama-4-6. Isikhathi sokuphila sowesifazane asidluli izinsuku ezingama-30.
I-Epidemiology
Umthombo wokutheleleka ngumuntu onegciwane lengculazi. Ukwabiwa kwamaqanda we-pinworm ezigulini ezingaphandle kwemvelo kuqala ngokwesilinganiso sezinsuku ezi-12-14 emva kokutheleleka, (ukufakwa kokuhlanzeka) kanye nokukhethwa kwabo ngokuqhubekayo kuyaqhubeka kuyo yonke inkathi yesifo. Indlela yokuhambisa ise-fecal-ngomlomo. Adluliselwa kanjani ama-helminth? Izindlela eziphambili zokuhambisa yilezi:
- Ukudla (uma kugwinywe amaqanda ahlaselayo ngokudla namanzi).
- Indlu (lapho amaqanda engena emlonyeni evela eminwe noma ezintweni ezingcolisiwe zasendlini, amathoyizi, okombhede).
- Indlela yokuphefumula yokudlulisela - lapho uhlanza futhi unyakazisa ilineni ngothuli. Kuyinto evamile kakhulu.
Inqubo yokuhlasela kwe-auto (re) ivame kakhulu ngesikhathi se-enterobiasis, esiza ukugcina isimo eside sokutheleleka kanye nobungozi obukhulu beziguli ezinjalo. Izici ezibalulekile zokudluliselwa kokuhlaselwa, isb., Ukutheleleka nge-enterobiosis, kuvame ukwenzeka kakhulu ngokusebenzisa izinto ezingcolile nezinto zasendlini (izimbiza zezingane, okombhede, amathoyizi, ilineni, izitsha, amadeski esikole, amatafula, izibambo zeminyango, njll.) Kanye nemikhiqizo yokudla. Ngakho-ke, izimbangela eziyinhloko zokutheleleka ukungahambisani nemithetho yokuhlanzeka komuntu.
Kubathinta kakhulu ukusabalala kwe-Enterobiasis isimo sokuhlanzeka kwamakhaya / izikhungo futhi ikakhulukazi amakhono okuhlanzeka komuntu. Ukwanda kwe-enterobiosis kusizwa ngokugcwala ngokweqile kwezikole / ezinkulisa, kanye nokugcwala kwamakamelo. Ukusola ukungena kwe -obiobiasis kubantu abadala futhi ikakhulukazi ezinganeni kuphezulu kakhulu. Okuthinteka kakhulu yizingane ezisebangeni elisuka eminyakeni eyi-1 kuye kweyi-9, kuthi kusuka eminyakeni eyi-10 ubudala, ukubekeka phansi kunciphe. Ngemuva kokudluliswa kwe-enterobiosis ukungatheleleki, kepha akwanele ukuvimbela ukutheleleka kabusha.
Abantu abaningi bakholelwa ngephutha ukuthi izilwane ezifuywayo, okungukuthi amakati, yisona sizathu esenza kubonakale izidumbu. Lokhu akulona iqiniso. Ungatheleleka ngempela emakati, kepha lezi zilwane zinohlobo oluhlukile lwesikele - umugqa wesikeleli futhi uma zitholakala emgodini, isilwane kufanele siphathwe ngokushesha, ngoba kunengozi yokutheleleka ngokugonywa nokuthuthuka i-toxocariasis.
Izimpawu zezinsikazi kubantu abadala
Isikhathi sokufakwayo siyahluka phakathi kwamasonto ayi-2-4. Izimpawu nokwelashwa kwama-pinworms kubantu abadala kuyahlukahluka futhi kunqunywa ikakhulu ngobukhulu bokuhlasela nokuqina kwempendulo yomuntu ngamunye obalekile.
Abantu abadala ezimweni eziningi ezinokuhlaselwa okuncane kwama-parasite babekezelela i-enterobiosis ngokungaziwa noma ngokucishe kube njalo. Izimpawu eziphambili: ukuvutha ku-anus kanye nokushayiswa kwe-perianal, imvamisa ebusuku. Ukucasuka kwesikhumba kwendawo yendawo kanye nesifunda se-perineal kungenzeka. Kwabantu abaningana, izimpawu ze-pinworm zingabonakala ngokwengeziwe njengobuthakathaka, ukuphazamiseka kokulala, ukukhathala, amandla anciphile okusebenza, nobuhlungu bekhanda.
Ezimweni zokuhlaselwa okuthe xaxa, izimuncagazi ziyaphuma kaningi kusihlwa naphakathi nosuku. Iziguli zikhononda ngokusetshenziswa kobuhlungu obungejwayelekile noma buvame ukwenziwa ezindaweni ezithile zesibeletho (imvamisa endaweni yesithasiselo), ngomzwa wobuhlungu palpation. Izitulo ezikhuluphele kakhulu zingavela, isiyezi, ikhandaukwehla kwesifiso sokudla, isicanucanu.
Njengomphumela wokuklwebheka njalo, imifantu ejulile futhi ebuhlungu ingavela esikhunjeni endaweni ye-perineum kanye ne-perianal zone, kanye nokucashunwa njalo okunobuthi / okuwumshini ngama-pinworms aleli ndawo kufaka ukubonakala kohlobo oluhlukile lokuqhuma, eczema kanye namathumba.
Kakhulu kuvame kakhulu kubantu abadala enterobiosis kuqhubeka ngomonakalo omkhulu ohlelweni lwezinzwa, oluziveza ukuqwasha, ukwehla kwemisebenzi yokuqonda kanye nokwehla kwamandla okusebenza. Kwabesifazane, lesi sifo singabonakala enterobiotic vulvovaginitis - lapho ama-pinworms engena esithweni sangasese ngobuningi obukhulu, obangela ukucunuka okunobuthi nokulunywa, kanye nokungenisa kwe-microflora yamathumbu kusuka ku-rectum. Ekuhlolweni kwegazi - okuphikelelayo i-eosinophilia.
Ukuhlolwa nokuxilongwa
Izindlela eziholayo zomtholampilo zokuxilonga lesi sifo zifaka phakathi: i-perianal itching syndrome ngokwakhiwa kokuqhekeka nokwakheka kwama-abrasions, i-pyoderma, imifantu, inqubo yokuvuvukala eczematous, isifo sobuhlungu besisu esifundeni se-hypogastric, dyspeptic syndrome (isicanucanu, izihlalo zokuhlala njalo, ukuncipha kokudla, ukuthopha), i-astheno-neurotic syndrome (isiyezi, ikhanda, ukukhathala, ukungakhathaleli, ukuphazamiseka kokulala, ukufiphala okuvamisile, ukuzungeza ebusuku), ukuphikelela i-eosinophilia egazini le-peripheral.
Ukucacisa lokhu kutholakala, kuhlolwa i-pinworm - ukuhlolwa kwe-microscopic. Ukuskena kwenziwa kusuka emphethweni we-perianal usebenzisa i-tepi enamathela, i-spatula, i-tampon noma ukufakwa usebenzisa izinti zamehlo engilazi nge-glue ngokusho kweRabinovich. Ungakudlulisa kanjani ukudonswa kwamaqanda we-pinworm? Inqubo ayinzima. Kwenziwa nge-swab yekotoni ecijwe ku-glycerin / itheyiphu ekhethekile yokunamathela ekuseni ngaphambi kokuduka nezinqubo zokuhlanzeka ze-perineum. Inqubo Algorithm:
- Faka umswakama ukotini ku-glycerin noma usebenzise itheyiphu ekhethekile yokunamathela,
- ukucindezela izindebe ngobumnene nokujikeleza i-wand ukuze ukhwebule kuzungeze i-anus kusuka ngqo kumaphethelo noma usebenzise i-tepi enamathela,
- beka induku / itipi kushubhu yokuhlola / esitsheni sepulasitiki ngesivalo esiqinile,
- ngaphambi kokuthunyelwa kwilabhoratri (kungakapheli amahora amabili) zigcinwa esiqandisini emazingeni okushisa +4 degrees,
- inqubo iphindwa ezinsukwini ezi-3.
Kwesinye isikhathi ama-helminths amadala atholakala ngaphezu komhlaba. Uma kunesidingo, kuthathwa isigaxa sowesifazane sangasese.
Ungaziphatha kanjani izilwanyane kubantu abadala?
Ukwelashwa kwe-enterobiosis kubantu abadala kuya ngobukhulu bokubonakaliswa kwemitholampilo, ubulukhuni benkambo, ukuba khona kwezinkinga futhi kufaka nezidakamizwa ze-etiotropic (pathogenetic) zokwelashwa, okusho ukuthi, izidakamizwa ezilwa ne-pinworms, i-Symbomatic therapy, izindlela zokubuyisela amathumbu i-microbiocenosis, kanye nezindlela zokwelapha ezingezona izidakamizwa, kufaka phakathi ukudla, irejimeni, izindlela ze-physiotherapy, izindlela zokuhlanzeka. Ukwelashwa akufanele kuhlolwe kuphela ekususeni ama-pinworms, amaqanda abo nezibungu emzimbeni, kodwa futhi nasekuyekeni imiphumela yemisebenzi yabo ebalulekile (ukusabela komzimba, i-anemia, ukubonakaliswa kwe-asthenic, njll.). Akunakuphikiswa enterobiosisNjengomthetho, welashwa ngesisekelo sokuphuma (ukwelashwa ekhaya).
Ama-Derivatives avame ukubekelwa ukwelashwa kwe-etiotropic kwe-enterobiosis. carbamatebenzimidazole (UMedamine, UNemozole, I-Albendazole, I-Vermox, UMbendazole, Carbendacim) kanye ne-tetrahydropyrimidine (I-Pyrantel) Noma yisiphi isidakamizwa esivela kuleli qembu siyithuluzi elisebenzayo elithinta zombili izinhlobo ezivuthiwe zocansi futhi ezinama-ovicidal aphezulu (umphumela kumaqanda) nomsebenzi we-larvicidal (umphumela kuma-larvae).
Amacwecwe ePinworm kulaba bantu abadala basepulazini. Amaqembu avimba ukuhanjiswa kwe-glucose kuma-helminth nezinqubo eziphazamisayo ze-oxidative, futhi futhi kunomthelela ongemuhle ezicutshini zamathumbu we-intestinal ngokuvimba isenzo cholinesterase kanye nokudicilela phansi umugqa wezinzwa we-paromite.
Kubalulekile ukuqonda ukuthi imishanguzo kubantu abadala kufanele ichazwe uchwepheshe, futhi ungakhethi ukuthi izokwelashwa kanjani, ifuna ikhambi elingcono kakhulu, ivakashele eyodwa noma enye iforamu ekhethekile, ngoba izidakamizwa ezilinganisweni ezingalungile azisebenzi, ezingavumeli ukwelapha isiguli ngesikhathi, futhi kwesinye isikhathi sibe yingozi. Ngakho-ke, iziguli eziningi ziqala ukuthatha Ukuqhathanisangokufunda imininingwane yokuthi iyasebenza ngokulwa nama-helminthiase abangelwa ama-roundworms ngenkathi imiselwe ascariasis. Inkambo yokwelashwa iphindwa ngemuva kwezinsuku eziyi-14.
Akunakwenzeka ukunikeza impendulo ejwayelekile eqondile "ukuthi imiphi imishanguzo engcono yokwelapha ama-pinworms noma ukuthi ungawasusa kanjani ama-pinworms ekhaya". Ngokomqondo, ukusebenza kwezidakamizwa zesimanje ezisetshenziselwa ukwelapha i-Enterobiasis kuphezulu impela (cishe ama-90%), kodwa-ke, ukuthi akukho noyedwa kubo ongaqinisekisa ukwelashwa okuphelele ngemuva kokudlula enkambweni eyodwa. Ukuze uthole ukwelashwa okuphelele, noma ngabe umuthi usetshenzisiwe, izifundo eziphindaphindwayo ziyadingeka futhi zonke izindlela zokuhlanzeka ziyalandelwa.
Kubalulekile futhi ukuqonda ukuthi ukuthwalwa kwasekhaya ekhaya kumele kwenziwe ngendlela efanayo ngawo wonke amalungu omndeni. Ngaphambi kokwelashwa, ukuhlanza okumanzi okumanzi kufanele kwenziwe, iziguli kufanele zizigeze zigqoke ingubo yangaphansi yomzimba ehlanzekile, futhi ekuseni, izingubo zangaphansi / zokulala kufanele zishintshwe. Ngesikhathi sokulashwa, kufanele usike izipikili zakho kafushane futhi ugweme ukuskena izindawo ezihlabahlosile.
Ngokulunywa okungatheni / ukuqala kwesikhumba, ama-antihistamines akhonjisiwe: isiraphu / amaphilisi U-Erius, Desloratidine, I-Fenistil, I-Allergosan nezinye lapho kuvela amathumba amancane endaweni yokuqunjelwa, okubangelwa ukwethulwa kwesifo kwesibili endaweni yesilonda, ukugcotshwa kwamafutha e-zinc kungasebenza noma ukugcotshwa kwasendaweni kwama-antibacterial: I-Levomekol, Oflokain futhi njll.
Ngokumisa ukubonakaliswa kwe-allergic - I-Ketotifen. Ngohudo nokuphuza kakhulu, kunqunywa ama-enterosorbents (ISorbex, I-Diosorb, Ikhabhoni esebenze, ISorbentogel, I-Enterosgel futhi njll.).
Ukuze ubuyisele i-microbiocenosis yamathumbu, kunconywa ukuthi izidakamizwa ezifana I-Lactobacterin, Linex, I-Bifidumbacterin, Bifikol, INormoflorin nabanye ngezindlela ezahlukahlukene zomthamo (amakhandlela, amaphilisi).
Izindlela zokutheleleka
- Lapho uhlanganisa indawo ye-anus. Ebusuku, insikazi ibekela amaqanda, ithukuthelisa le ndawo, icasule ukuyihaya futhi isiguli sihlanganise le ndawo eduze kwe-anus. Uma ukuhlanzeka komuntu kungabhekwa (ukugeza izandla okuncane kanye nokuntuleka kwendlu yangasese yansuku zonke), amaqanda angena emlonyeni ngezandla futhi ukutheleleka kabusha kwenzeka.
- Ngokuxhumana nomuntu othwala i-pinworm.
- Ngezinto zasendlini (izibambo zeminyango, izincwadi, amathoyizi, izitsha ezigezwe kahle, imibhede).
- Kanye nokudla.
- Ngokusebenzisa izinwele zezilwane.
Izimpawu ezijwayelekile zokutheleleka kwe-pinworm kubantu abadala
- Ukulunywa kwe-anus (imvamisa ebusuku).
- Ukunciphisa ubuhlungu besisu kwamandla abuthakathaka.
- Isihlalo esikhululekile.
- Ukuqwasha, ubuthakathaka.
- Abesifazane bavame ukuba nokuchithwa okuchichima kowesifazane, kuvutha endaweni yokungena esithweni sangasese, izinhlungu ngesikhathi sokuya ocansini.
- Ukulahlekelwa isifiso sokudla.
- Ukungezwani komzimba.
I-Urticaria ene-Enterobiosis
Izimpawu zezinkinga
Uma kungekho ukwelashwa, kunezinkinga eziningi ezingaba khona:
- Isiyezi, ukunganaki.
- Kwabesifazane, i-endometritis ne-vulvovaginitis ngenxa yezikhonkwane ezingena esithweni sangasese.
- Ubukhali, isikhathi eside i-colic.
- Ukuqhakaza, ukuthopha.
Ukuhlanganisa isikhumba sesiguli ezungeze i-anus, ukwephulwa kwenhlanzeko yomuntu siqu kungaholela ku:
- Ukutheleleka kwegciwane lesibili le-epithelium kanye nama-subcutaneous fat in the comb.
- Isikhumba
- I-Enterobiotic appendicitis.
Ama-Pinworms kubantu abadala
Ukuxilonga i-enterobiosis, kusetshenziswa izindlela eziningana zokuxilonga:
- Ukukhonjwa kwezimpawu ezibalulekile: ukulunywa ebusuku, ukulahleka kokudla, ubuthakathaka.
- Ukuhlaziywa kwendle ngamaqanda we-pinworm. Le ndlela ayifundi ngokwanele. Ngakho-ke, ezinye izindlela zisetshenziswa ngokungeziwe.
- Ukuskrola endaweni ye-anal sphincter. Ukuze wenze lokhu, sebenzisa iswall ukotini ukuze usonge okuqukethwe endaweni yendawo.
- Isithombisi se-anal sphincter. Ngale ndlela, kusetshenziswa itheyiphu yokunamathela, enamathiselwe kule ndawo, bese itheyiphu lelo lifakwa engilazini bese libukwa ngaphansi kwesibonakhulu.
Ukuhlaziya kufanele kwenziwe okungenani izikhathi ezi-2 zomphumela onembe kakhudlwana ngokuphumula kwamasonto ama-2.
Ungawanqoba amagciwane!
I-Antiparasitic tata® - Ukulahlwa okuthembekile futhi okuphephile kwezimuncagazi ngezinsuku ezingama-21!
- Ukuqanjwa kubandakanya izithako zemvelo kuphela,
- Ayikho imiphumela emibi
- Kuphephile impela
- Kuvikela isibindi, inhliziyo, amaphaphu, isisu, isikhumba ezifweni
- Isusa emzimbeni izinto zokungcola ze-parasites.
- Ngokucophelela ubhubhisa iningi lezinhlobo zama-helminth ezinsukwini ezingama-21.
Manje kunohlelo olukhethwayo ukufakwa kwamahhala. Funda umbono wochwepheshe.
I-Bibliography
- Izikhungo Zokuvinjezelwa Kwezifo. I-Brucellosis Amaphara. Xhumanisa
- Izifo zeCorbel M. J. Parasitic // Inhlangano Yezempilo Yomhlaba. Xhumanisa
- Omncane u-E.J Umdlalo omuhle kakhulu wezifo zamathumbu emathunjini // Izifo Ezithathelwanayo Zokugula. - 1995. Umq. 21. - P. 283-290. Xhumanisa
- Yushchuk N.D., Vengerov Yu. A. Izifo ezithathelwanayo: incwadi. - Uhlelo lwesi-2. - M: Imithi, 2003 .-- 544 k.
- Ukudlanga kwezifo ezibangelwa yisinambuzane kubantu, ngo-2009 / Kokolova L. M., Reshetnikov A. D., Plonov T. A., Verkhovtseva L. A.
- Ama-Helminths ama-carnivores ezifuywayo esifundeni saseVoronezh, 2011 / Nikulin P.I., Romashov B.V.
Izindaba ezinhle kakhulu zabafundi bethu
Isihloko: Ama-parasites kufanele asolwe ngazo zonke izinkinga!
Kuvela kubani: ILyudmila S. ([email protected])
Iya ku: Ezokuphatha Noparasites.ru
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Izici ezijwayelekile
Abaningi banesithakazelo embuzweni wokuthi lezi zibungu zibukeka kanjani nokuthi yini ama-pinworms ayingozi kubantu abadala nasezinganeni. Lolu hlobo lwe-helminth lubizwa ngama-nematode amancane nosayizi. Ngokwencazelo, lezi yizikelemu ezimhlophe. Isimo somzimba sakhiwe ngendlela, siyashiyana ngokuya ngobulili besibungu. Ngakho-ke, ku-helminth yowesifazane, ukuphela komzimba kuyakhonjwa. Owesilisa unomsila obunjwegwegwe. Ubude bomzimba wowesifazane buhlukahluka ukusuka ku-9 kuye ku-12 mm, obukhulu obuphindwe kaningi kunabesilisa, ubude babo bungamamitha amathathu kuya kwayi-5.
Ama-Parasites anesistimu yokugaya eyenziwe lula, enomlomo, i-esophagus uqobo, idlulela emathunjini nase-anus, isusa imikhiqizo yokubola.
Ngokuqhathanisa Uhlelo lokuzala lwama-pinworms luyinkimbinkimbi kakhulu. Kwabesifazane, kumelelwa ubufazi, isitho sangasese sowesifazane, isibeletho kanye namaqanda. Abesilisa bane-testis, eqeda ngesipuni esidlulisa isidoda.
Inqubo yokutheleleka
Indlela yokuxhumana nekhaya ibonakala ezimweni lapho bobabili abadala nezingane bengayinaki imithetho eyisisekelo yenhlanzeko yomuntu siqu. Ngokwesibonelo, ukuvikela ukutheleleka nge-pinworm:
- hlamba izandla ngensipho, ikakhulukazi ngemuva kokuhambela ngakunye endlini yangasese,
- geza imifino nezithelo ngaphambi kokuyidla,
- geza izandla zakho ngaphambi kokudla,
- uma kunesilwane endlini, siqaphe inhlanzeko yaso, njalo thatha izinyathelo zokuvikela nokuvikela emgomeni nakwezinye izinambuzane,
- lahla izinambuzane ezingafuneki njengezimpukane, amaphuphu, njll.
- uma umuntu onegciwane ehlala endlini, mnikeze okombhede ohlukile, izitsha nezinye izinto zokuzisebenzisa ukuze unciphise ubungozi bokutheleleka kwamanye amalungu omndeni.
Kubalulekile ukwazi ukuthi ngemuva kokuba owesimame engena emzimbeni ngomlomo, ashada nomuntu wesilisa futhi kancane kancane athuthele emathunjini amakhulu, lapho kukhona zonke izimo ezithandekayo zokubeletha amaqanda. Kufanele kuqashelwe ukuthi kungowesifazane onamandla okunamathela odongeni lwamathumbu. Ngemuva kwamaviki amane, insikazi ifudukela kwi-rectum. Kakhulu, ebusuku, amaqanda abekwa esikhunjeni eduze ne-anus.
Kulula ukucabanga ukuthi ukuzitholela ngokwakho kuzokwenzeka kanjani. Yize kunjalo, kaningi izingane azicabangi ukuthi kungani indawo ethile ilungiswa. Futhi ngemuva kwenqubo efanayo, umuntu une-itch ku-anus. Ngemuva kokungena kule ndawo, kulula ukuzithela nokusabalalisa amaqanda kwamanye amalungu omndeni. Kungakho kubalulekile ukuqapha inhlanzeko yezandla kanye nezipikili njengoba kudingeka.
Inqubo yokususa izimuncagazi ibukeka iyinkimbinkimbi kakhulu, ikakhulukazi uma umndeni wonke ungenwe yibo. Udokotela ohambelayo unquma amaphilisi we-pinworm kubantu abadala nasezinganeni, kuya ngeminyaka yesiguli. Kepha ngaphezu kwalokhu, zonke izinto zomuntu siqu kufanele zihlukaniswe nabantu bangaphandle.
Kubaluleke kakhulu ukuchaza ingane ukuthi kufanele igeze izandla zayo, kubaluleke kakhulu ukuyifundisa ukugeza izandla ngemuva kokusebenzisa indlu yangasese nangaphambi kokudla.
Umjikelezo wempilo wezibungu zomthambo emzimbeni womuntu
Kungakhathalekile ukuthi isitho somzimba, kungaba ngumdala noma ingane, isibungu esingena emzimbeni ngomlomo siqala isigaba sokuphilwa kwaso. Ekuqaleni, ngaphansi kwethonya lama-enzymes wokugaya, igobolondo leqanda liyabhujiswa. Isibungu sikhishwa egobolondweni. Lapho usesemathuneni, izibungu ziqala ukukhula ngokuphelele ngesilinganiso kumakholomu angama-2-3. Emva kwalokho, abantu bobulili obuhlukile abashade nabo. Abesilisa ngemuva kwenqubo yokufaka umquba bangasebenzi futhi bafe, beshiya ndawonye ngamalondolo. Owesifazane, ngenxa yekhono lakhe lokuthola ugoba, unamathela odongeni lwesibeletho ukubeka amaqanda. Owesifazane oyedwa angalala kusuka kwizibungu eziyizinkulungwane ezinhlanu kuya kweziyi-17 ngasikhathi. Lapho nje umuntu esebeke amaqanda, uyafa. Akunakwenzeka ukumbona ngamehlo nqunu, njengoba umzimba wakhe uphela amandla.
Izimpawu ze-pinworms kanye nokuthuthukiswa kwe-enterobiosis
Uma ukutheleleka ngenombolo encane yama-pinworms kubantu abadala kwenzeka ngezikhathi ezithile, khona-ke izimpawu ze-enterobiosis azikho ngokuphelele noma zivela kancane ngesimo sokungakhululeki kahle. Kuyaqapheleka ukuthi ukuhambisana nemithetho yokuhlanzeka eyisisekelo (ukugeza izandla ngama-antimicrobial agents noma insipho, ukugqoka izingubo zangaphansi nezinye) kuyindlela enhle yokuvimbela lesi sifo, ngoba amathuba okuphindeka kuleli cala lincane. Lokhu kungenxa yokuthi ama-pinworms afa emzimbeni womuntu ngemuva kwamaviki ambalwa (lokho kuyindlela yawo yokuphila), ngakho-ke, ukuzala akwenzeki.
Ngokuhlasela okunzima, isithombe sehlukile ngokuyisisekelo, ngoba ngenkathi kuhlaselwa i-pinworm emzimbeni womuntu, kuvela uphawu lwesimpawu: ukusho ukuthi ukulunywa ku-anus, okuhlala izinsuku eziningana, futhi kungabuya ngemuva kwamasonto amabili kuya amathathu. Imvamisa, ukulunywa kuthoma ukuqina ebusuku, lapho kunomsebenzi owandayo wezimpondo zabesifazane. Ukuphinda kubonakale kokulunywa kucasulwa ukuphinda (ukutheleleka ngokwakho) - lokhu kwenzeka lapho ama-pinworms eshintsha izizukulwane. Ukuntuleka kokwelashwa okwanele, ukungahambisani nemithetho yokuhlanzeka, kanye nokuxhumana nabantu abathintekayo kunomthelela ekwandeni kwesibalo sabafo be-pinworm. Kulokhu, ukulunywa endaweni ye-anus kuba yinto yaphakade, okubangela ukuhlukunyezwa okuningi kumuntu futhi kuyadingeka ukukhetha ikhambi elisebenzayo lama-pinworms kubantu abadala.
Ukuhlanganisa indawo evulekile kuyiletha ukukhahlela kanye nama-microcracks., okuyisici esihle sokungena kwamagciwane we-pathogenic emzimbeni kanye nokunamathiselwe kokutheleleka kwesibili. Ngokuphikisana nalesi sizinda, izinhlobo ezahlukahlukene zesikhumba kanye nezinqubo zokuvuvukala zingakhula. Uma ungaziphathi izikhwehlela ezinganeni nakubantu abadala ngendlela esheshayo, khona-ke amathuba okuba khona kokuphazamiseka kwamathumbu emathumbu akhuphuke. Kwesinye isikhathi izindunduma ezinemisipha yegazi noma umunyu zingaphuma kumuntu ogulayo.
Kukhona i-hypothesis yezokwelapha engaqinisekisiwe yokuthi ukugcwala ngokweqile kwama-pinworms ku-cecum kungaba ngesinye sezimbangela zokwanda kwe-appendicitis.
Imiphumela yokutheleleka nge-pinworm ingahluka kakhulu. Ukuntuleka kokwelashwa okufanele ngokuthuthukiswa kwe-enterobiosis kuvame ukuholela ekubonakala kokubi okuvela emzimbeni:
- ukwephulwa kokukhiqizwa kwe-hemoglobin,
- ukudakwa kakhulu,
- ukwanda okungasebenzi
- ukukhathala ngesikhathi sokuzivocavoca komzimba,
- ukuhlaselwa kwekhanda okuhleliwe.
Ngaphezu kwalokho, ngokumelene nesizinda sesi sifo, iziguli zingathola ukusabela okuhlukahlukene komzimba kanye nokuqwasha. Kumzimba wesifazane, ukuhlukunyezwa kwe-helminthic kuyingozi ngoba kunomthelela ekwakhiweni kwama-pathologies anjenge-vulvovaginitis ne-endometritis.
Ama-Pinworms ngesikhathi sokukhulelwa
Emsebenzini wezokwelapha, amacala okuthuthukiswa kwe-enterobiosis kwabesifazane abakhulelwe cishe awatholakali. Kepha ngithele ngemikhonto emzimbeni womama okhulelwe, lokhu akubeki ebungozini obukhulu enganeni yakho (kungakhathalekile isikhathi sokukhulelwa). Kepha kowesifazane uqobo, ubungozi busekhona - angaba ne-pathologies yofuzo ehlukahlukene.
Uma ukutheleleka kwe-pinworm kwenzeka ku-trimester yokuqala yokukhulelwa, khona-ke ukwelashwa kwezidakamizwa kuleli cala kubekwe ngokuqinile. Njengolunye ukwelashwa, amakhambi esintu okuhlasela kwe-helminthic angasetshenziswa. Maphakathi nasekupheleni kokukhulelwa, empini yokulwa ne-pinworms, kunconywa ukusebenzisa i-Piraten noma i-Piperazin, ebhekwa njengezidakamizwa eziphephile impela ngokumelene nezinambuzane zabantu.
Ngesikhathi sokuncelisa, ukusetshenziswa kwemithi nakho akuvunyelwe. Ukwenza inkambo yokuhlanzwa komzimba ngemithi ye-antiparasite, odokotela bavame ukuphazamisa inqubo ye-lactation (imvamisa izinsuku ezintathu kuya kwezine zanele).
Imiphumela yesifo
Indlela efanele yenkinga "yokuhlakazeka" iyisihluthulelo sokwelashwa okuphumelelayo, kodwa kubalulekile ukuthi imisebenzi ebalulekile ehlose ukubhujiswa kwama-pinworms yenziwa ngesikhathi. Ngaphandle kokwelashwa, imiphumela yomzimba ingaba mibi kakhulu. Ukukhiqizwa kabusha kwama-pinworms kanye nokwanda okusheshayo kwenani labo kuvame ukukhuthaza ukuthuthukiswa kwe-eosinophilic enterocolitis - le ndlela yesifo ibonwa ngokutheleleka okungapheli.
Ukuhamba kwe-pinworm ezinganeni nakubantu abadala kanye nezitho zangaphakathi kuholela kulimaza ulwelwesi lwama-mucous, olubangela ukukhula kwe-gastroduodenitis. Kwabesifazane abadala, umsebenzi wegciwane owandisiwe ugcwala umsebenzi wesistimu yokuzala engasebenzi kahle. Ngaphezu kwalokho, kunengozi enkulu yokuqhamuka nezinqubo zokuvuvukala esithweni sangasese sowesifazane, ama-ovaries kanye ne-pelvis. Lapho ama-pinworms enziwa ngqo kwi-cecum, ukukhuphula i-appendicitis kuvame ukwenzeka, okuvame ukuphelela ngokuhlinzwa. Ukufuduka kwamagciwane kungena emgodini wesisu kukhulisa amathuba e-peritonitis.
Imithi
Uma imiphumela yokuhlaziya ikhombisa ubukhona be-pinworms emzimbeni womuntu, udokotela unquma ukwelashwa. Vele, kukhona ikhambi elisebenzayo elisebenza ngokushesha ngokumelene nalezi zimpawu. Futhi ungaziphatha kanjani izingane zamaphayiphu ezinganeni? Kokubili izingane nabantu abadala imvamisa banikezwa umuthi ofanayo, kepha ngemithamo ehlukene.
- "I-Levamisole-Decaris" (izindleko zincike kuhlobo lokukhishwa kanye nokuphakathi kwama-ruble angama-70),
- "I-Pirantel" (intengo yayo ngama-ruble angama-30- 35),
- IHelminthox (cishe ama-ruble angama-80-120),
- I-Mebendazole (kusuka kuma-ruble angama-90 kuye kwangama-120),
- I- "Vormin" (ibiza cishe ama-ruble angama-20),
- I-Vermox (cishe ama-ruble angama-90).
Yonke le mithi ingaphezu kwe-counter futhi ihlala itholakala kunoma iyiphi ikhemisi.
I-Piperazine nayo ingabekwa - lesi sidakamizwa sithathwa njengengasebenzi ngokumelene nama-pinworms, kepha singathathwa kuphela ngesikhathi sokukhulelwa nokuqunjelwa. Kubiza cishe ama-ruble angama-30.
Kwesinye isikhathi udokotela ubeka "i-Nemozol", okubhekiswa kuyo i-anthelmintic eqinile, kepha ngasikhathi sinye kube nemibango eminingana. Ukusetshenziswa kwaso kufanelekile uma, ngaphezu kwama-pinworms, ezinye izinhlobo zezikelemu zitholakala. Kwezinye izimo, amakhambi athambile makhulu. Izindleko zomuthi zingama-ruble angama-180.
Noma yikuphi ukwelashwa kuzosebenza kuphela uma umuthi uphindwa ngemuva kwamasonto amabili. Lokhu kukhonjisiwe kwimiyalo, lokhu kusho udokotela impela. Lesi sidingo sidalwa iqiniso lokuthi into esebenzayo yesidakamizwa ayithinti izibungu namaqanda - kubantu abadala kuphela. Ngemuva kwamasonto amabili, inani elisele lingabhujiswa ngokuphelele.
Uma ukuthatha i-itching kubangela ukulunywa kakhulu, udokotela wakho angakunquma ama-antihistamines. - ngokwesibonelo, "Cestrin", "Zodak", "Loratodin". Ukulunywa kungakhululeka nge-enema ekhethekile. Ukulungiselela kwayo, kuyadingeka ukuncibilikisa amagremu ayi-10 e-baking soda kwilitha lamanzi.
Into ephoqelekile yokwelashwa ngamasu emikhakheni yokuhlanzeka komuntu siqu. Kubalulekile:
- geza izandla ngensipho ngemuva kokusebenzisa indlu yangasese, ngaphambi kokudla, ngemuva kokuhamba,
- izipikili ezimfishane,
- Shintsha ingubo yangaphansi ekuseni nakusihlwa,
- geza masinyane, uwunuke ngensimbi,
- nsuku zonke efulethini kuyadingeka ukwenza ukuhlanza okumanzi, ukukhipha igciwane endlini yangasese.
Lezi zinqubo ezilula zizosiza ukuqeda izimuncagazi, ukunciphisa ubungozi bokuhlaselwa abanye.
Umuthi wendabuko lapho ulwa nama-pinworms
Umuthi wendabuko, ngokuqinisekile, unokuthile ongakunikeza ukulwa nama-pinworms. I-Enterobiosis iphathwa nge-enemas yokuhlanza. Isibonelo sombungu, ngokwesibonelo, uzosetshenziselwa ukususa imizimba yezikhonkwane. Iresiphi ilula. Kuzothatha amagremu angama-20 omhlonyane owomile nengilazi eyodwa yamanzi abilayo. Utshani buthelwa ngamanzi abilayo futhi bugcizelelwa amahora amahlanu. Ngemuva kwalokhu, umhluzi uyanqunywa. I-Enema imvamisa ibekwa ebusuku futhi yenziwe njalo, kuze kululame ngokuphelele.
Amaresiphi ayaziwa kunokuphatha izikhonkwane ezithinta ama-helminths hhayi ngokuqondile ku-rectum. Isibonelo, ugalikhi. Ukulungiselela lo muthi, udinga ama-2 clove egalikhi. Ichotshoziwe futhi ihlanganiswa namanzi. Isixazululo kumele sidakwe ngokuphelele, uma kunesidingo - gezwa ngamanzi ahlanzekile. Thatha ugarlic ngaleli fomu izinsuku ezintathu, bese uyeka ukuthatha izinsuku eziyisikhombisa, uphinda inkambo yokwelashwa. Kukholelwa ukuthi i-garlic ngokwemvelo igcwala igazi ngezinto ezikhuthaza ukuphuma kwe-pinworms namanye ama-helminths emzimbeni, futhi zivimbele ukungena kwazo kusuka esophagus emzimbeni.
Kusetshenziswa emithini yesintu yamakhonkwane kanye no-anyanisi. Ukuze ulungiselele leli khambi labantu uzodinga amagremu ayi-100 anyanisi, okumele afakwe ushizi. I-slurry ephumayo ixubene nama-gramu angama-50 kawoyela wemifino nama-gramu ayi-5 kasawoti. Thatha isidakamizwa ubusuku bonke izinsuku ezinhlanu.
Umuthi wendabuko unikeza amathuluzi alula wonke umuntu angazilungiselela wona. Kodwa-ke, asikho isizathu sokungabaza ukusebenza kwezidakamizwa ekwelashweni kwanamuhla. Kwesinye isikhathi kungcono ukungazibeki engozini, uzibeke engcupheni wena nabathandekayo bakho.
Ahlala kuphi ama-pinworm?
Ama-Pinworms ahlukahlukene, okungukuthi, asakazeka emhlabeni wonke, kodwa ngaphezu kwakho konke emazweni anomoya opholile. Imvamisa, amacala okutheleleka ngalolu hlobo lwe-helminth abonwa e-USA nase Ntshonalanga Yurophu.
Ama-pinworm athela abantu bayo yonke iminyaka, yize iningi lezifo litholakala ngaphambi kweminyaka engu-12.Noma yimuphi umuntu, ngaphandle kwezici ezinjengobuhlanga, isimo senhlalo nomnotho nesiko, angatheleleka. Indawo yobungozi ifaka izingane ezisondelene kakhulu, imindeni enezingane, abasebenzi bezikhungo zokunakekela izingane.
Amaqanda okugcotshwa imvamisa awela ezandleni nasezikhonkwaneni, kepha futhi angaba sezembathweni (ikakhulukazi ezingubeni), okombhede, amathawula, ezindlini zokugeza nasendlini yangasese, noma othulini lwendlu.
Ngaphakathi kumuntu, izibungu ziyavela emathunjini amancane. Kepha ngemuva kokufuduka nokuncibilika, ama-pinworm amadala avele ahlala emathunjini, lapho amathumbu amancane angena kololoni futhi aphansi.
Ziyingozi kangakanani izingcekeza?
Njengomthetho, hhayi kakhulu. Ezimweni eziningi, okubi kakhulu abangakubangela ukulunywa nokungajabuli okuzungeze i-anus (anus). Lokhu kwesinye isikhathi kubangela ukuba izingane zivuke, ziphazamise izindlela zazo zokulala. Ukuqunjelwa kungadambisa izinhlungu ku-anus futhi kubangele ukutheleleka kwesibili (i-bacterial dermatitis). Inani elikhulu lama-pinworms lingadala ubuhlungu besisu futhi lenze umntwana angacasuki. Kwabesifazane, lezi zibungu zingashelela phambili futhi zibeke amaqanda esithweni sangasese sowesifazane sangasese noma i-urethra. Ngakho-ke, kungenzeka ukuthi udokotela akhombise ukuxhumeka phakathi kokuba khona kwama-pinworms emantombazaneni asencane nasekukhipheni i-vaginal, enursis, noma ezinkingeni zokuchama. Kuyaqabukela, lezi zinambuzane zingadala ezinye izinkinga, njengokulahlekelwa isifiso sokudla kanye nokunciphisa umzimba.
Isakhiwo
Izibungu ze-Enterobius vermicularis zincane, zimhlophe, zifana nentambo. Abesifazane bakhulu - kububanzi obuvela ku-8-13 mm ngo-0.3-0.5 mm esigabeni sesiphambano, abesilisa bancane - kububanzi ukusuka ku-2-5 mm ngo-0-0-0.2 mm esigabeni sesiphambano. Abantu besifazane banesiphelo eside, esimile okwe-awl, esikhombe ngemuva, yingakho baba negama labo. Emadodeni, emuva komzimba kusontekile.
Ama-Pinworms anamathiselwe odongeni lwesibelethi ngosizo lokudumba olukhethekile - ama-vesicles angaphambili komzimba.
Amaqanda ezinambuzane ayindilinga, phezulu azungezwe yigobolondo elinamandla elingenamibala. Ama-ovals adalulwa kusuka kolunye uhlangothi futhi atholwe kancane kusuka kolunye. Ubukhulu busuka ku-0.02 kuya ku-0.04 mm.
Ama-Pinworms adla nge-microflora yamathumbu.
Amagciwane ezinhlobo ze-Enterobius anthropopitheci, ezihlakulela kuma-chimpanzee, abe nobukhulu obuncane: abesilisa - 1.1-1.8 mm, abesifazane - 3.3-4.7 mm. Ziyahluka kancane ngesakhiwo se-morphological kusuka kubamele bezinhlobo zangaphambilini.
Mangaki amaqanda we-pinworm ahlala ngaphandle komuntu?
Kwisimo esingaphandle komzimba womuntu, amaqanda we-pinworm, ngaphansi kwezimo ezinhle, angahlala esebenza kuze kuphele amasonto ama-3 (emanzini ompompi, ngokuya ngezinga lokushisa, izinsuku ezingama-7 ukuya kwezingu-20). Kubalulekile ukuba bahlale bemanzi, ngakho-ke abakwazi ukubekezelela ukushisa, kepha bangaphila emazingeni okushisa aphansi - izingxenye ezimbili kwezintathu zamaqanda zihlala zisebenza ngemuva kwamahora ayi-18 ku -8 ° C.
Abantu abadala abakwazi ukuba khona ngaphandle komzimba womuntu.
Ngabe kwenzeka kanjani ukutheleleka?
Ama-pinworms adluliselwa kusuka kumuntu kuya komunye, okuvela lapho amaqanda egwinywa noma kwesinye isikhathi lapho engena nge-rectum ngokusebenzisa i-anus. Amaqanda ngokwawo aqinile futhi angahlala esebenza (i.e. etheleleka) endaweni enomswakama amasonto amathathu.
Ngemuva kokuba amaqanda ekuqaleni ebekwe esikhumbeni eduze ne-anus, asakazeka kalula kwezinye izindawo. Igobolondo lamaqanda liyanamathela, njengoba ishiya insikazi kanye ne-mucus, ukuze ixazululwe kalula kwizinzipho, iminwe, okokugqoka ebusuku kanye nombhede. Ukusuka lapha sekuvele ngaphezu kokudla, amanzi, ifenisha, amathoyizi, amalambu asendlini nezinye izinto zasendlini. Izilwane ezifuywayo zivame ukuphatha amaqanda ejekeni lazo, kepha zona ngokwazo azikwazi ukutheleleka. Uthuli oluqukethe iqanda lungathwalwa emoyeni futhi luhlakazeke ngobudlova lapho lufika ebusweni, ngokwesibonelo, ngokuxhawula umbhede. Ngakho-ke amaqanda angangena emlonyeni nasekhaleni lapho efaka umoya, futhi agwinywe kamuva.
Kepha sekutholakele ukuthi ama-pinworms awahlali ekhanya ngaphakathi komzimba wenkosi yawo. Ezinye izibungu zepinworm ziyakwazi ukudonsa ku-anal mucosa bese zihambisa amathumbu ukuze zibuyele emgodini womuntu ofanayo. Ubunzima bemiphumela yale ndlela yokutheleleka akuqondakali kahle. Yize isikhathi sokuphila esifushane se-pinworms (aze afike kumaviki ayi-13), uma bekukhona ukutheleleka ngokwakho ngokufakwa amaqanda, noma ukufuduka kwezibunguzo kubuyela emathunjini, ukwelashwa kuyadingeka futhi ukuze ubakhiphe ngokuphelele.
Iqanda libekwe yizinkonkwane zabesifazane emphethweni weperianal enganeni
Ukulungiselela
Okusebenzayo kakhulu futhi elilungile ngokulandela irejimeni yokwelashwa elula futhi ubuthi namuhla yi-Mebendazole. Ilungele abantu bayo yonke iminyaka engaphezu kwengu-2 ubudala. Wonke amalungu omndeni, kufaka phakathi abantu abadala nalabo abangenazo izimpawu, kufanele baphuze umuthi ngasikhathi sinye. Umuthi wokuqala ubulala lezi zibungu. Okwesibili (ngemuva kwamasonto amabili) kwesinye isikhathi kuyadingeka uma ukutheleleka kungakaze kudlule ngokuphelele, noma kube nokutheleleka okuphindaphindiwe ngamaqanda okusala endlini. Umthamo owodwa kubantu abadala abane-Enterobiasis ngu-100 mg.
I-Praziquantel imnene ngomzimba, kepha ilula ukuyithatha. Kufanele kuthathwe izinsuku ezingama-5, kepha kuvunyelwe ngisho nakubantwana abangaphansi konyaka owodwa. Ezinye izidakamizwa ezinezinto ezisebenzayo ezinjenge-albendazole, i-levamisole nazo zibhekana ngempumelelo nama-pinworms.
Ngesikhathi sokukhulelwa
Ngesikhathi sokukhulelwa, ngesikhathi se-trimester yokuqala, awukwazi ukuthatha izidakamizwa ezibulala izibungu. Kodwa-ke, izindlela zokuhlanzeka nazo zingasebenza kakhulu. Izikelemu ziyafa cishe amasonto ayi-6 kuya ku-13. Uma nje kungukuthi awekho amaqanda amasha agwinyiwe, cishe awekho ama-parasites amasha azokhula esikhundleni lawo. Ngakho-ke, uma uqhubeka nezindlela zokuhlanzeka ezifanele, umbuthano wokuphinda utheleleke ngama-pinworms uzophuka, futhi i-enterobiosis ingadlula wedwa.
Uma umuthi ubhekwa njengodingekile ku-trimester yesibili noma yesithathu yokukhulelwa, udokotela angeluleka nge-mebendazole. Kodwa-ke, ayinamalayisense okusetshenziswa ngesikhathi sokukhulelwa.